Friday 11 April 2008

SUBWAY AND 99P WTH DTR

//////////////////////Climb up on some hill at sunrise. Everybody needs perspective once in a while, and you’ll find it there.Robb Sagendorph (1900-1970)Editor and publisher




//////////////////////////Time is an illusion - lunch time doubly so.


///////////////////if an electrician offers to do work without issuing a install/test certificate dont use him.



/////////////////..........As a trainee Home Inspector I just wanted to say that the mandatory Home Condition Report, which the govt made voluntary last July as part of the HIP includes an assessment of the services including the electrics. We are not electricians but if we see poor or outdated installations we report on them. The Mortgage Valuation or Homebuyer survey do not do this so hence why the original poster had to be nagged by Dad to do something.So if you are selling a house after June get an HCR to reassure your buyers that the house is in good order.If you are buying a house ask the vendor to commission an HCR and save yourself the cost of paying for the inferior Homebuyer Survey.



///////////////////CDS=CONTINS DEEP SEDN -TERMINAL PALLTV SEDN



////////////////////...........Well I had a full electric rewire done on my ancient victorian house last year. The guys that did the job, based in North London, did an absolutely fantastic job & were very cheap! I paid £4,000 in London for a full electric rewire which included extra sockets & lighting in the loft, replastering & working in an occupied house which meant putting everything in a working state at the end of each day. It was the cheapest quote out of 4 which I obtained.



///////////////////..........NEURONE SPF ENOLASE IN CSF AS INDICATOR OF BRAIN DAMG



/////////////////...........NEW YORK (Reuters) - Pfizer Inc and Nektar Therapeutics said on Wednesday clinical trials of the inhaled insulin Exubera found increased cases of lung cancer, leading Nektar to end talks with potential partners to market the product. Nektar shares tumbled 24 percent in early trading, while shares of MannKind Corp, which has been developing its own inhaled insulin, plummeted more than 56 percent. Pfizer was little changed at $21.00.



//////////////////.........DT=FINANCE How to manage fluctuating incomeIf you don't have a regular salary and have trouble sticking to a budget, try putting all your income into a savings account and giving yourself a monthly "salary" from this savings account. Make sure you've done the math and have a good idea how much is your average income.



//////////////////////............Electrical safety law dictates that all modern electrical work be inspected by a registered electrician."or"If you don't get a certificate for the inspection, you'll be breaking the law" are true.




/////////////////////...........Winners are people with a definite purpose in life." -- Denis Waitley




//////////////////////...........Never use hypotonic saline (0.225 % or 0.3 %) as IV fluids in Pediatrics unless for a specific indication (e.g. DI) !Anti-emetics (such a Zofran) may have a role to treat vomiting in acute gastroenteritis.In bronchiolitis there may be a benefit from 3% NS nebulizer or from combining epinephrine nebulization with systemic steroids (dexamethasone 0.6 mg/kg) but still awaiting more evidence.Studies suggest benefit from dexamethazone in reducing severity of symptoms in children w severe pharyngitis.A study suggests that dexamethazone 0.15 mg/kg is as effective as 0.6 mg/kg in croup.Emphasis on aggresive fluid resuscitation early in septic shock (average of 6 ml/kg in the first hour) and early antibiotics (in the Golden Hour as well).Oral rhydration is preferred whenever possible in GE w dehydraton, and the NGT route may be as effective as the IV.Regarding the shortage of hospital beds & crowding in the Ped ED, more patients can be discharged earlier from the inpatients if: i) there is a discarge planner responsible for monitoring discharges ASAP from the time the patients are admitted, ii) admitting more patients to the wards even if slightly over-census and in the hallways, and iii) having a discharge lounge for patients awaiting their parents to take them home.For a better toxin decontamination, charcoal must be given before gastric lavge, then doing lavage with the largest NGT possible, then giving charcoal again!Ephesis on distinguishing the Toxidromes early.Quality assurence must be part of our daily practice!



////////////////////...........Well I think the 17th edition of the wiring regs states that everyone should have a consumer unit with RCD. So it will be compulsary soon. And yes it can save your life as long as wired correctly and proper earthing taken care of. I would also recommend reutine maintenance. the 5-10yr thing is too long. A lot of cable damage is causedby rats mice and squirrels getting into lofts and in floor space they chew the cables. There is no guarantee they are not eating away as we speak. I think people should treat there homes and safety with more respect than there car that goes down in price have an annual inspection. People should also allow for the price of all the main earthing to be renewed at the same time as the consumer unit. Copper cable does not come cheap. This adds extra cost ontop and is compulsary to have done I believe. Then full test certificates must be provided. If this is not provided dont pay because the tradesman is breaking the law. The price of a consumer unit usually varies from the amount of ways. i.e. 10 way 12 way etc and they have to carry out a full electrical test to put on the schedule of results they issue you with so that adds to the price also the notification fee via the scheme provider i.e. NICEIC so if the price seems high its because there are a lot of overheads and liability in form of insurance to cover. Tools are expensive also and a test meter to carry out the test is 1000 pounds.



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